2025 ICD-10-CM code Z84.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status Chapter 21: Factors influencing health status and contact with health services Feed
Family history of diseases of the skin and subcutaneous tissue.
Modifiers are not directly applied to ICD-10-CM codes.However, modifiers may be applied to the accompanying procedural codes used to bill for services rendered.
Medical necessity for coding Z84.0 is established when the family history of skin and subcutaneous tissue diseases is pertinent to the patient's current health status and warrants medical attention, such as risk assessment, preventative care, or counseling. The documentation must support the clinical rationale for the encounter.
The clinical responsibility is to assess the patient's risk based on the family history. This may involve discussions about preventative measures, screening recommendations, and lifestyle modifications.Further investigations or referrals may be necessary.
In simple words: This code is used when a doctor or other healthcare provider sees someone because of a family history of skin or tissue problems.For example, if someone has a family history of skin cancer, this code might be used to document the reason for a check-up.
This ICD-10-CM code classifies a patient encounter where the reason for the visit is to address a family history of skin and subcutaneous tissue diseases.This code is used when the family history is relevant to the patient's current care, such as preventative measures or risk assessment.It should be accompanied by a procedure code if a procedure is performed during the encounter.Conditions included are those classifiable to chapters L00-L99.
Example 1: A patient presents for a preventative skin cancer screening due to a strong family history of melanoma (Z84.0 with a related CPT code for skin exam)., A patient with a family history of psoriasis seeks advice on managing potential future outbreaks. (Z84.0 with appropriate E&M code)., A patient discusses concerns about potential genetic predisposition to certain skin conditions based on family history during a routine checkup. (Z84.0 with an appropriate E&M code).
Documentation should include a detailed family history outlining the specific skin and subcutaneous tissue conditions present in the family, the relationship of affected family members to the patient, and the age of onset of the conditions in the affected family members. The physician's assessment of the patient's risk, recommendations for preventative measures, and any plans for future follow-up should also be documented.
** This code should not be used as the sole diagnosis code unless the encounter solely focuses on the family history and the management of that risk.This code is typically used in conjunction with other diagnosis codes and procedure codes to fully capture the clinical encounter.Always ensure that all documentation supports the medical necessity for the encounter.
- Revenue Code: Revenue codes will vary depending on the place of service and the specific services rendered.Consult your revenue code system for appropriate selection.
- RVU: RVUs are not applicable to ICD-10 codes.RVUs are associated with CPT and HCPCS codes.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Dermatology, Genetics, Family Medicine
- Place of Service:Office, Outpatient Hospital, Clinic